| NPI | 1083538599 |
|---|---|
| Former Name | AMY FAIRCLOTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: NE 83) |
| Enumeration Date | 2026-08-06 |
| Last Update Date | 2026-08-06 |